Das Unfallgeschehen im Kindes- und Jugendalter – Aktuelle Prävalenzen, Determinanten und Zeitvergleich

Saß, Anke‐Christine; Poethko‐Müller, Christina; Rommel, Alexander

doi:10.1007/s00103-014-1977-5

Cited by 20 publications

(6 citation statements)

References 16 publications

(10 reference statements)

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“…Sex differences in injury subtypes are known for children and especially for adolescents ( 26 ). Due to their risk-taking behavior, boys are in general more often seriously injured than girls ( 27 ), but during adolescence girls are more prone to experience injuries related to suicide and self-harm than boys ( 28 – 30 ).…”

Section: Introductionmentioning

confidence: 99%

The Risk of Hospitalizations with Injury Diagnoses in a Matched Cohort of Children and Adolescents with and without Attention Deficit/Hyperactivity Disorder in Germany: A Database Study

et al. 2017

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BackgroundAttention deficit/hyperactivity disorder (ADHD) is a common neuropsychiatric disorder in children and adolescents worldwide, and children with ADHD have elevated risk of injuries. Our aim was to assess the risk of hospitalizations with injury diagnoses and their various subtypes in children and adolescents with newly diagnosed ADHD compared to those without ADHD, as well as to study sex effects on this risk in the setting of the German health care system.MethodsThe German Pharmacoepidemiological Research Database, in which 20 million insured from four statutory health insurances in Germany are included, was used to set up a matched cohort study of 3- to 17-year-old children and adolescents with and without ADHD. We calculated age-specific incidence rates and used Cox regression to obtain hazard ratios (HRs) for hospitalizations with injury diagnoses. We used the injury mortality diagnosis matrix for classification of injuries.ResultsThe matched cohort comprised a total of 75,300 children. The age-specific incidence rates for hospitalization with injury diagnosis for males with ADHD displayed a u-shaped form with highest incidences in the in the age groups 3–6 years [26.2 per 1,000 person-years; 95% confidence interval (CI) 20.5–33.0] and 18–21 years (28.6; 22.4–36.0). Girls with ADHD were less affected in younger age-groups, but the incidence rate for 18–21 year olds was similar to boys with ADHD (26.4; 17.4–38.4). The adjusted HR for children with ADHD was 1.40 (95% CI 1.30–1.49) compared to non-affected children. With respect to nature of injury, ADHD was associated with hospitalization with injury diagnoses of the internal organs, open wounds, and contusions but not with other injuries. With respect to body regions, children with ADHD were more prone to hospitalizations with injuries of the abdomen, traumatic brain injuries, other head injuries, and system-wide injuries such as poisoning and intoxication. No significant associations were seen for the other body regions. Differences between sexes were only seen for system-wide injuries.ConclusionChildren and adolescents with ADHD are at an increased risk for hospitalizations with diagnoses of injuries compared to non-affected children. Despite differences in health-care systems, the risk increase is at a similar level in Germany as in other countries.

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Section: Introductionmentioning

confidence: 99%

The Risk of Hospitalizations with Injury Diagnoses in a Matched Cohort of Children and Adolescents with and without Attention Deficit/Hyperactivity Disorder in Germany: A Database Study

et al. 2017

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“…A comparison of data from the most recent wave of KiGGS and the previous KiGGS baseline study (2003-2006) and KiGGS Wave 1 (2009-2012) shows that accident prevalences and figures for age groups and genders have remained fairly constant (data not shown). The finding that boys more often are affected by accident injuries compared to girls is evident in all three waves of KiGGS, which is reflected in the official causes of death, hospital and road accident statistics [ 1 , 5 , 7 , 8 ].…”

Section: Resultsmentioning

confidence: 99%

“…In the previous waves of KiGGS, no correlation between the frequency of accidental injuries (total) and family socioeconomic status was found [ 5 , 7 , 8 ]. Only road traffic accidents surveyed in the KiGGS baseline study show a marginal increase in injury rate for girls and boys from families with low socioeconomic status [ 7 ].…”

Section: Resultsmentioning

confidence: 99%

Accident injuries of children and adolescents in Germany. Results of the cross-sectional KiGGS Wave 2 study and trends

Saß¹,

Kuhnert²,

Gutsche³

2019

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For children and adolescents, accidents represent an important health risk. Despite decreasing mortality rates, accidental (unintended) injuries remain the most common cause of death for children over the age of one in Germany. Accident injuries can cause considerable and lasting damage on health and development. The possible major implications as well as the potential to prevent accident injuries underline the importance of accident prevention. The German Health Interview and Examination Survey for Children and Adolescents (KiGGS) collects data on unintentional child injuries at regular intervals. Results of the second follow-up survey (KiGGS Wave 2, 2014-2017) show that during the past twelve months 16.5% of children and adolescents aged between 1 and 17 received medical treatment following an accident. Boys suffer injuries from accidents significantly more often than girls (18.6% vs. 14.3%). While the prevalences for older children and adolescents tend to be higher, age generally has little impact on accident rates. Compared to the two previous waves of KiGGS, the prevalences of accident injuries have remained stable.

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“…Mit über 60-80 % bilden Stürze im Haushalt im Kleinkindalter die häufigste Unfallursache. Mit Zunahme des Bewegungsradius des Kindes im Vorschulalter kommt es häufiger zu Unfällen in Betreuungs-und Bildungseinrichtungen sowie zu Sport-und Freizeitunfällen, die im Schulalter durch die wachsende Mobilität und eigenständige Teilnahme am Straßenverkehr vorwiegend durch Verkehrsunfälle abgelöst werden [4]. Die Altersverteilung aller Frakturen zeigt, dass bis zum 13.…”

Section: Frakturenunclassified

Versorgung von Notfällen in der Kinder- und Jugendtraumatologie

Wintges¹,

Reinshagen²,

Frosch³

et al. 2021

OP-JOURNAL

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ZusammenfassungMit zunehmendem Alter und Bewegungsradius kommt es bei der Entdeckung der Umwelt zu alterstypischen Unfällen und Verletzungen im Kindes- und Jugendalter. Diese führen häufig zur Vorstellung in einer pädiatrischen Notaufnahme. Neben Unfällen im Haushalt kommt es dabei am häufigsten beim Spielen auf Spielplätzen, der Sportausübung sowie im Straßenverkehr zu Verletzungen. Durch ihre anatomischen und physiologischen Unterschiede zum Erwachsenen sind Verletzungen im Kindesalter nicht immer mit denen Erwachsener zu vergleichen und benötigen daher kindgerechte Behandlungskonzepte. So muss zum Beispiel bei der Versorgung von Frakturen immer das noch ausstehende Korrekturpotenzial aufgrund der noch offenen Wachstumsfugen berücksichtigt, jedoch auch immer die Gefahr einer drohenden Wachstumsstörung bedacht werden. Neben Frakturen kommt es bei Kindern häufig zu Weichteilverletzungen vor allem am Kopf oder den Händen. Dabei reichen die Verletzungen von einfachen Rissquetsch- oder Schnittwunden bis hin zu Teilamputationen oder (Tier-)Bisswunden sowie thermischen Verletzungen. Luxationen der großen Gelenke stellen im Kindesalter eine Rarität dar, können aber falsch behandelt zu persistierenden Bewegungseinschränkungen oder chronischer Instabilität führen. Das Polytrauma im Kindesalter sollte aufgrund der Seltenheit und einer dadurch an kleineren Häusern oft fehlenden routinierten Behandlung wenn möglich in spezialisierten kindertraumtologischen Zentren erfolgen. Bei inadäquatem Unfallmechanismus, widersprüchlicher Anamnese oder auffälligen Verletzungen muss im Kindesalter auch immer an eine Kindesmisshandlung gedacht werden.

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Das Unfallgeschehen im Kindes- und Jugendalter – Aktuelle Prävalenzen, Determinanten und Zeitvergleich

Cited by 20 publications

References 16 publications

The Risk of Hospitalizations with Injury Diagnoses in a Matched Cohort of Children and Adolescents with and without Attention Deficit/Hyperactivity Disorder in Germany: A Database Study

The Risk of Hospitalizations with Injury Diagnoses in a Matched Cohort of Children and Adolescents with and without Attention Deficit/Hyperactivity Disorder in Germany: A Database Study

Accident injuries of children and adolescents in Germany. Results of the cross-sectional KiGGS Wave 2 study and trends

Versorgung von Notfällen in der Kinder- und Jugendtraumatologie

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